Individual
MRS. CINDY OPOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4070 LAKE DR SE STE 101, GRAND RAPIDS, MI 49546-8294
(616) 455-4114
(616) 455-4454
Mailing address
4070 LAKE DR SE STE 101, GRAND RAPIDS, MI 49546-8294
(616) 455-4114
(616) 455-4454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4387357
—
MI
Enumeration date
08/19/2005
Last updated
05/31/2022
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